HIDE SNP Clinical Administrative Coordinator - Berrien County, MI and surrounding (NILES)

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The HIDE SNP Clinical Administrative Coordinator role is an essential part of an Integrated Care Model.You will work collaboratively with our clinical partners and other internal stakeholders and be a key component in customer satisfaction, making every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating people about program benefits and services while also helping to manage individual cases and support the clinical team.

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

If you live in the Berrien County, MI and surrounding marke t, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.

Primary Responsibilities :

• Manage administrative intake of people with UHC insurance and complete required documentation in our medical management systems
• Maintain compliance with turnaround times based on the member's product, the type of request and the specific regulatory agency
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and / or providers
• Assist the clinical staff with setting up documents / triaging cases
• Handle resolution / inquiries from members and / or providers
• Work collaboratively with clinical partners and Home and Community Based Service providers to manage services
• Conduct telephonic and / or in-person outreach to locate individuals and families in the community who are hard to reach
• Supports member related correspondence and educational materials
• Handle resolution inquiries from members, providers and clinical partners
• Collaborate with internal departments including Leadership to resolve issues
• Maintain confidentiality and adhere to HIPAA Requirements
• Consistently meet established productivity, scheduling, and quality standards
• Navigate and document inside multiple clinical applications
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include :